Contact is maintained with CARDIA participants via telephone, mail, or email every 6 months, with annual interim medical history ascertainment. Over the last 5 years, >90% of the surviving cohort members have been directly contacted, and follow up for vital status is virtually complete through related contacts and intermittent National Death Index searches. The figure shows incident event rates from 1985 through February, 2021 for cardiovascular disease (light blue columns) and total mortality (dark blue columns) by sex and race groups.